| NPI | 1306277645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA A NELSON CFO 6123-267-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1071339) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |